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DR. PATRICIA JEAN BOUKNIGHT M.D.
NPI 1962477315
Family Medicine in Spartanburg, SC

Active since February 21, 2006PECOS Enrolled
96.08/100
CMS Quality Rating
101 E WOOD ST, SPARTANBURG, SC 29303(864) 560-6193(864) 560-1510 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 1, 2020, Jul 10, 2019, Jun 15, 2017 (3 updates tracked since 2017).

About Dr. Patricia Jean Bouknight M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PATRICIA JEAN BOUKNIGHT M.D. (NPI 1962477315) is an individual family medicine provider in Spartanburg, South Carolina, licensed in South Carolina (18076) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962477315
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PATRICIA JEAN BOUKNIGHTCredential: M.D.
Location Address101 E WOOD STSpartanburg, SC 29303-3040
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413
Phone(864) 560-6193
Fax(864) 560-1510
Sole ProprietorNo
Enumeration DateFebruary 21, 2006
Last NPPES UpdateDecember 1, 20203 updates tracked since enumeration
NPPES CertifiedDecember 1, 2020
✔ NPI 1962477315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 18076
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
101 E WOOD ST, Spartanburg, SC 29303
Open in Google Maps ↗

Other Identifiers 4

OtherP01221633SC · Railroad Medicare
Other080135335SC · Rr Medicare
Medicaid180761SC
OtherG497073365SC · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Patricia Jean Bouknight M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Patricia Bouknight reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Spartanburg Medical Center
Same address
Family Medicine
101 E WOOD ST
Spartanburg, SC 29303
  • Reassigned Medicare billing, South Carolina enrollment
  • 814 clinicians in this Medicare group
NPI 1326373697 (864) 560-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TONDRE BUCK M.D.
Internal Medicine (Hematology & Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-7050
ADAM KEITH RAYNES
Nurse Anesthetist, Certified Registered
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6000
RAJAN BHATT
Student in an Organized Health Care Education/Training Program
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6285
NICHOLE TACKETT DO
Surgery
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6285
PATRICIA C. GRIFFIN MD
Radiology (Radiation Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6917
DR. VIKAS DEMBLA M.D.
Internal Medicine (Hematology & Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-7050
DR. ANDREW OMOIT EKATAN M.D.
Internal Medicine
101 E WOOD ST, SUITE 401
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6654
STETSON REED BICKLEY M.D.
Radiology (Diagnostic Radiology)
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6522

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patricia Bouknight's NPI number?

The NPI number for Patricia Bouknight is 1962477315. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Patricia Bouknight located?

Patricia Bouknight practices at 101 E Wood St, Spartanburg, SC 29303. The listed phone number is (864) 560-6193.

What is Patricia Bouknight's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Patricia Bouknight enrolled in Medicare?

Yes. Patricia Bouknight is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Patricia Bouknight's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Bouknight reassigns Medicare benefits to Spartanburg Medical Center (Spartanburg, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patricia Bouknight's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patricia Bouknight accept?

Health plans from First Choice Next list Patricia Bouknight as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Patricia Bouknight was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.